NPIMap

Individual provider Active NPI

Aderonke Ajala, MD

  • Hematology & Oncology Physician
  • State College, PA
National Provider Identifier
1689015042
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD468171 Issued in PA
Practice address
235 Wellness Way
State College, PA 16803-6709
Phone
(814) 231-7800
Fax
(814) 231-7098
NPI assigned
Jul 15, 2013
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD468171 PA Primary

Addresses

Primary practice location

235 Wellness Way
State College, PA 16803-6709

Mailing address

155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7800

Other practice location 1

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009000762 PA Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 8325347628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

155 Wellness Way
Mount Nittany Health Oncology and Hema
State College, PA 16803-6797
Phone (814) 231-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD468171PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Hematology & Oncology CurrentSince Jul 1, 2025 Accepting new patients
Centre County Cancer Center Hematology & Oncology CurrentSince Oct 11, 2021 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jul 1, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc Hematology & Oncology CurrentSince Jul 1, 2025 Accepting new patients
Mount Nittany Medical Center Current Accepting new patients
Centre Pathology Associates, PC Current Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

235 Wellness Way
State College, PA 16803
Phone (814) 231-7800

Interoperability endpoints

  • Direct secure messaging: aderonke.ajala@cancercarepartnership.ikm.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1689015042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036797",
            "telephone_number": "814-231-7800",
            "fax_number": "814-231-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036709",
            "telephone_number": "814-231-7800",
            "fax_number": "814-231-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7800",
            "fax_number": "814-231-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJALA",
        "first_name": "ADERONKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD468171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.